Organization
ASPIRE FAMILY DENTAL, PLLC
Active
Other names
Aspire Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TODD R LEVINE (OWNER)
(716) 439-1877
Entity
Organization
Contact information
Practice address
5862 SNYDER DR, LOCKPORT, NY 14094-9497
(716) 439-1877
(716) 433-6029
Mailing address
5862 SNYDER DR, LOCKPORT, NY 14094-9497
(716) 439-1877
(716) 439-1918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03162109
—
NY
Enumeration date
01/26/2007
Last updated
10/04/2019
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